Senior Manager, Payer Enrollment Strategy – Operations

🕒 il y a 25 jours

🇺🇸 États-Unis – Télétravail

💵 $120 000 - $160 000 / an

⏰ Temps Plein

🟠 Senior

⚙️ Opérations

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Medallion

Site WebLinkedInTous les Emplois

51 - 200 employés

Fondée en 2020

⚕️ Assurance santé

☁️ SaaS

🤖 Intelligence artificielle

🔥 Financement dans la dernière année

💰 €43 000 000 Series C - Medallion en 2025-08

Healthcare Insurance • SaaS • Artificial Intelligence

Medallion est une entreprise spécialisée dans les opérations de santé utilisant l'intelligence artificielle. Elle offre une plateforme SaaS pour automatiser l'homologation des prestataires, l'inscription des payeurs, la gestion des licences, l'attribution des privilèges, et la surveillance continue. La plateforme utilise l'apprentissage automatique et l'automatisation en temps réel pour extraire et standardiser les données, gérer les règles spécifiques aux payeurs et aux États, effectuer des suivis automatiques et garantir la conformité avec les normes NCQA et TJC, réduisant ainsi les coûts et accélérant l'intégration des prestataires. Medallion sert les payeurs, les groupes de prestataires, les systèmes de santé, les organisations de gestion du cycle de revenus (RCM), et les entreprises de santé numérique avec un accent sur la réduction de la charge administrative et l'amélioration de la préparation des réseaux.

Description

• Own end-to-end enrollment outcomes for your customer portfolio – from application through completion – and be accountable for SLA performance, client satisfaction, and team throughput • Manage an on/offshore team of enrollment specialists: set clear goals, build capacity plans, run performance rhythms, and develop talent • Serve as the primary operational point of contact for your customers; lead recurring and ad hoc client calls, own escalation resolution, and communicate proactively on risks and delays • Establish and track the metrics that matter – SLA attainment, cycle time, error rates, team utilization – and build the reporting infrastructure to see them clearly • Conduct regular SLA and workflow reviews; triage and prioritize work based on urgency, client impact, and business criticality • Identify and resolve root causes of client issues by coordinating cross-functional teams; close the loop with clients with speed and professionalism • Map your operational workflows to find upstream and downstream leverage points – where handoffs break, where data is re-entered manually, where exceptions burn disproportionate time • Partner with engineering and product to scope and ship automation, tooling improvements, and scalable process changes • Translate operational patterns into structured recommendations; contribute to the broader playbook that scales across the team

🎯 Exigences

• 5+ years in strategy & operations, bizops, management consulting, or a similarly rigorous operational environment – you know complex, metrics-driven operations are run successfully • 2+ years managing teams, including performance management, goal-setting, and team development • Demonstrated ability to diagnose operational problems, build structure around ambiguity, and drive cross-functional solutions • Strong analytical instincts – comfortable with owning a KPI dashboard, spotting trends, and building the case for process change • Excellent written and verbal communication; you can run a client call and write a crisp exec summary with equal confidence • Experience working with operational tooling (e.g. Airtable, Google Workspace, or similar); comfort picking up new systems quickly • Curiosity and speed-to-competence in a new domain – you don't need to know Payer Enrollment on day 1, but you're confident you will know it by day 90.